Organization Active NPI

Tu V. Huynh DDS Dental Corporation

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1598077208
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D48615 Issued in CA
Legal business name
TU V. HUYNH DDS DENTAL CORPORATION
Practice address
303 N East St
Anaheim, CA 92805-3341
Phone
(714) 635-0800
Fax
(714) 635-0811
NPI assigned
Jul 10, 2010
Organization subpart
Yes
Parent organization
TU V. HUYNH DDS DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tu V Huynh, DDS
Title
Ceo
Phone
(714) 535-0998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D48615 CA Primary

Addresses

Primary practice location

303 N East St
Anaheim, CA 92805-3341

Mailing address

111 S Brookhurst St
Anaheim, CA 92804-2407
Phone (714) 535-0998

Other identifiers 3

IdentifierTypeStateIssuer
G9351001MedicaidCA
1073682654OtherCANPPES
1639305451OtherCANPPES

Other names 1

  • Nova Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tu V Huynh DDS Dental Corporation4 organizations share this tax ID, including this one
Part of
Tu V Huynh DDS Dental Corporation

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 S Brookhurst St
Anaheim, CA 92804
Phone (714) 535-0998

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1598077208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BROOKHURST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042407",
            "telephone_number": "714-535-0998",
            "fax_number": "714-535-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N EAST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053341",
            "telephone_number": "714-635-0800",
            "fax_number": "714-635-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU V. HUYNH DDS DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TU V. HUYNH DDS DENTAL CORPORATION",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "TU",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-535-0998",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D48615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9351001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073682654",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1639305451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.